Organization Active NPI

Grace Wellnessnp in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1326950973
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GRACE WELLNESSNP IN PSYCHIATRY PLLC
Practice address
645 Allerton Ave
Bronx, NY 10467-7403
Phone
(929) 389-1783
Fax
(347) 919-6041
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Comfort Obamwonyi
Title
Owner
Phone
(959) 277-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

645 Allerton Ave
Bronx, NY 10467-7403

Mailing address

2220 Pinegate Dr Apt 365
Houston, TX 77008-3976
Phone (929) 389-1783

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1326950973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 PINEGATE DR APT 365",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083976",
            "telephone_number": "929-389-1783",
            "fax_number": "347-919-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677403",
            "telephone_number": "929-389-1783",
            "fax_number": "347-919-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WELLNESSNP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "OBAMWONYI",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "959-277-0432"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.